Prominence Medicare Advantage (Florida)
Part of Renown Health
Summary
Prominence Medicare Advantage (Florida) is a regional health plan, part of Renown Health, offering dental and medical coverage operating in Nevada and Texas. Claims route under payer ID 83352, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Prominence Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
83352Also seen as 14366, 5030, 8878, PRHFFL- Also known as
- Prominence Health, Prominence HealthFirst of Florida
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- NV, TX
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for Prominence Medicare Advantage (Florida)?
- The payer ID for Prominence Medicare Advantage (Florida) is 83352. Alternate IDs seen across clearinghouses include 14366, 5030, 8878, PRHFFL.
- How long does Prominence Medicare Advantage (Florida) provider enrollment take?
- Prominence Medicare Advantage (Florida) provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Prominence Medicare Advantage (Florida) require CAQH?
- Yes. Prominence Medicare Advantage (Florida) uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does Prominence Medicare Advantage (Florida) require ERA enrollment?
- Yes. Prominence Medicare Advantage (Florida) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does Prominence Medicare Advantage (Florida) cover?
- Prominence Medicare Advantage (Florida) operates in NV, TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.